Individual provider · Type 1 NPI

Kelly Baker Tyson

Mental Health Counselor · Vernon Hills, IL

NPI number 1922912468 Active

Practice location

175 E Hawthorn Pkwy Ste 155
Vernon Hills, IL 60061-1493

Call (847) 847-4977 Map

Mailing address

1037 Shambliss Ct
Buffalo Grove, IL 60089-1247

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X178033381 (IL)

Mental Health Counselor: Definition to come...

2 other providers at this address

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About NPI 1922912468

Kelly Baker Tyson's National Provider Identifier is 1922912468, issued on Oct 1, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Vernon Hills, IL. The record was last updated on Oct 1, 2026.